Individual
JENNIFER PANICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
110 REHILL AVE, SOMERVILLE, NJ 08876
(908) 429-5833
Mailing address
PO BOX 7349, HILLSBOROUGH, NJ 08844-7349
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00532100
NJ
Other
Enumeration date
08/05/2019
Last updated
11/24/2019
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